Elisabeth can now cycle and swim after life-changing bilateral double level tibial and femoral derotation osteotomies with Mr Ronald van Heerwaarden

A fall leads Elisabeth to uncover many years of undiagnosed severe patellofemoral instability and go on to have successful treatment

Elisabeth had always had knee problems, which she had learned to live with and enjoy her passion for dance.

A fall while dancing in 2019 meant she needed to be taken to A & E. A course of treatment and surgery was recommended to Elisabeth, however she sought a second opinion and found Mr Raghbir Khakha and Orthopaedic Specialists online. By this stage she was on crutches and was struggling to walk.

At their first appointment, Mr Khakha immediately recognised rotational (miserable) malalignment, which is when there is abnormal rotation of the femur, the tibia or both the femur and tibia. This is a common cause of severe anterior knee pain and instability, yet it is often missed and is poorly understood.

Mr Khakha referred Elisabeth to his colleague Mr Ronald van Heerwaarden at the London Knee Osteotomy Centre who specialises in derotational osteotomy surgery, which was required to reposition Elisabeth’s legs correctly. In Elisabeth’s case she needed a double level derotation as both her femur and tibia needed to be realigned. Mr van Heerwaarden also performed a tibial tubercle osteotomy at the same time, which aims to improve alignment of the patella.

Elisabeth had surgery to each leg separately as her right leg, which was injured in the most recent fall, also required an MPFL reconstruction.

In the videos below Elisabeth charts her progress from the injury, surgery and her successful recovery, which has enabled her to live a normal life for the first-time including swimming, cycling and comfortably walking 4km.

Elisabeth explains her long-term undiagnosed knee problems

Elisabeth explains the impact of her knee injury

Dr Ronald van Heerwaarden diagnoses Elisabeth severe patellofemoral pain and instability

Elisabeth explains how she felt at the prosect of surgery with Dr Ronald van Heerwaarden

Elisabeth explains how she felt after surgery on her right leg

Elisabeth explains how she felt after the 2nd surgery on her left leg

Elisabeth explains how her legs are after surgery

Elisabeth gives her advice for patients needing similar surgery

Elisabeth's X-rays

X-ray of Legs

Elisabeth pre-op X-ray

Elisabeth’s right leg post-op

Elisabeth’s left leg post-op

October 2020